The endurance athlete has specific needs when it comes to physical therapy and performance. We understand if you’re a runner, biker or swimmer, the last thing you want to do is stop your sport because of pain or an injury. Our goal is to get you back to doing what you love as soon as possible. 

Endurance sports are very typical activities where overuse injuries occur. Common injuries associated with running and bicycling include: achilles tendinitis, plantar fasciitis, patellofemoral pain syndrome, hip bursitis, piriformis syndrome, stress fractures, low back pain and sometimes even shoulder or neck pain. Swimming injuries are typically more focused on the upper body. Because of the endurance component of swimming, the most common injuries are overuse injuries including shoulder tendonitis or rotator cuff tears, neck strain, and back pain as well as other posture related pain.

What happens when your body gets in the way of swimming, bicycling or running?

• Core, pelvic & hip weakness
• Muscle imbalances
• Pain and muscle strain
• Increased incidence of injuries

• Declined performance
• Decrease in training capacity
• Pelvic health issues (urinary incontinence, abnormal menstrual cycles, etc.)

While these symptoms are common among athletes, they are not normal and should be addressed by a qualified professional. If this sounds like you, click here to get help now.

Whether you are a casual athlete with lower mileage or a competitive athlete who is focused on races or reaching towards faster speeds or longer distances, it’s important to have a skilled physical therapist who understands the demands of your sport and can customize a rehabilitation program to not only help you recover from the injury but to become a better athlete than you were before with very little down time, if any.

Injuries can occur due to factors such as poor training strategies, inadequate mobility and stability, or even bad luck training accidents. What is commonly overlooked is the true root cause of your pain or injury, which is often a lack of neuromuscular control.

The concept of neuromuscular control refers to your brain's capacity to turn on the right muscles, at the right time, and with the right amount of muscle strength in order to produce a desired movement. The more complex or intense the movement performed, the higher degree of neuromuscular control required.

Many physical events (injury, surgery, etc.) can disrupt your brain's capacity to execute this program, a process known as neuromuscular de-activation. As a result, there is a tendency for your body to compensate, with less efficient movement patterns, in order to maintain the same current level of physical activity. Eventually, neuromuscular de-activation can lead to a vicious cycle of pain, muscle imbalance, and abnormal joint stress. You will often see a decline in fitness and performance until adequate neuromuscular control is restored.


How can Activcore help?

The physical demands of athletes are uniquely different from the general population who do not engage in similar activity. Likewise, physical therapy for this special population should not be given a conventional approach. Working with athletes is typically not a big part of a physical therapist’s education. It is a specialty area requiring much further study, training, and practice following graduation.

At Activcore, you will be matched with a physical therapist who specializes in treating athletes. Unlike the "typical" PT who probably doesn't even play sports, you will have a specialist who knows exactly what you are going through.

Swimming, bicycling, and running are activities that truly involve the whole body. At Activcore we understand that. So whether your pain is located in your shoulder, your hip, your knee, or any other place and it’s keeping you from your sport, we have the knowledge, tools, and expertise to not only decrease the pain where you’re feeling it, but also a systematic way of diagnosing what may be going on in the rest of your body to cause pain where it hurts. Addressing the underlying cause is absolutely essential for healing an injury, preventing recurrence, and keeping you healthy and at a peak level of performance.

We emphasize a more "active" recovery at Activcore. It’s impossible to expect that simply rest and doing nothing for a time will heal a problem. Yes, it may calm down the symptoms of an overuse injury, but there’s a reason that overuse is happening at one particular part of your body. Rest alone isn’t fixing the problem. It’s allowing the inflammation to settle down, but if you go back into your sport after a few weeks of doing nothing, not only did you not fix anything, but you also became more deconditioned. Oftentimes, a combination of active rest, manual therapy, and targeted strengthening and neuromuscular activation exercises for overuse injuries is what will help eliminate the injury, but also return that individual to their sport as quickly as possible at the level which they want to compete.

You will feel the Activcore difference from your first visit. This is a highly personalized experience delivered by a passionate movement expert fully dedicated to getting you back to the sport or training activity that you love. Once your pain has been addressed, you will have the opportunity to continue honing your movement through ongoing performance training at Activcore.

Learn about our 3-step recovery process for optimal movement health.

We Treat

• Achilles tendinopathy
• AC joint repair surgery
• Arthroscopic surgeries
• Bicep tendon surgery
• Biceps tendinitis / tendonitis
• Cervical spine dysfunction
• Decreased rotational mobility
• Elbow instability
• Epicondylitis
• Fractures
• Frozen shoulder
• Golfers elbow
• Hip pain
• Impingement syndrome
• Joint sprains
• Knee pain
• Labral tears
• Labral surgery
• Lateral epicondylalgia / epicondylitis
• Ligament injuries
• Lower back pain
• Lumbar disc herniation
• Lumbar spine dysfunction
• Medial epicondylalgia / epicondylitis
• Muscle strains

• Neck pain
• Nerve injuries
• Patellofemoral pain syndrome
• Plantar fasciitis
• Postural dysfunction
• Rotator cuff dysfunction
• Rotator cuff repair surgery
• Rotator cuff tears
• Scapular dyskinesis
• Sciatica
• Shoulder dislocation
• Shoulder (glenohumeral) instability
• Shoulder replacement surgery
• Shoulder subluxation
• SLAP repair surgery
• SLAP tears
• Sports injuries
• Tendinitis / Tendonitis
• Tendon injuries
• Tennis elbow
• Thoracic outlet syndrome
• Thoracic spine dysfunction
• Tommy John surgery
• Ulnar collateral ligament injury
• Ulnar tunnel syndrome
• Weakness

"When I started at Activcore, I was also currently training for three triathlons. I had multiple goals, not only for my health, but for my races as well. We worked on strengthening during the performance therapy sessions to help with both my health goals and triathlon goals. My second triathlon on August 3rd, was especially important, as I was racing to bring awareness and end breast and ovarian cancer. During the race, I felt fantastic and reached my goal by making top 10, which is considered elite and was also 1st in my division. Oh, and I had zero pain! I am so thankful that my physician recommended Activcore. I not only feel better, but I have learned so much more about my body."

—‍ customer review